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NPI Code Detail

MEDICARE: WEST WHARTON COUNTY HOSPITAL DISTRICT

MEDICARE: WEST WHARTON COUNTY HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1578345542
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST WHARTON COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 4150 INTERNATIONAL PLZ STE 600
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4831
Country : US
Telephone Number : 817-348-8959
Fax Number :
Provider Business Practice Location Address
First Line : 106 BELT LINE RD
Second Line :
City : GARLAND
State : TX
Zip : 75040-4104
Country : US
Telephone Number : 972-495-7700
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : DAVID H MAK
Credential :
Telephone Number : 713-569-7370
Provider Enumeration Date : 10/16/2023
Last Update Date : 10/31/2023

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Directions to “WEST WHARTON COUNTY HOSPITAL DISTRICT ” Practice Location

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